$731.15–$777.15
Choose 49440 for new percutaneous tube placement into the stomach. Choose 49441 when the tube is placed into the duodenum or jejunum.
On this page
CMS RVU26D · Effective 2026-10-01
49441 Enteral tube placement Medicare reimbursement rates in Maine
Reports image-guided percutaneous placement of an enteral tube into the duodenum or jejunum when postpyloric feeding access is needed. Compare 49441 office and facility rates across CMS payment localities in Maine.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 49441 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$907.84–$965.61
2 of 2 localities have a supported rate.
Facility setting
$204.76–$208.27
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Interventional radiology
About 49441: Percutaneous duodenal or jejunal tube placement
Reports image-guided percutaneous placement of an enteral tube into the duodenum or jejunum when postpyloric feeding access is needed.
This service establishes enteral access to the duodenum or jejunum through a percutaneous approach, using fluoroscopic guidance to position the tube and confirm its location. It is typically performed by an interventional radiologist in a hospital setting when a patient needs small-bowel feeding access rather than feeding into the stomach. Fluoroscopic guidance, contrast injections, and the related radiological supervision and interpretation are part of the placement service.
Report 49441 for new percutaneous duodenal or jejunal tube placement, not for exchanging an existing tube or converting a gastrostomy tube to a gastrojejunostomy tube. The procedure report should support the access site, tube destination, placement technique, and imaging confirmation. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 49441
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.41 · 15%
- Practice expense (office) RVU24.27 · 83%
- Malpractice RVU0.71 · 2%
410
Medicare services in 2024 · #3717 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
49441 compared with similar codes
Office rates for Maine, from the same CMS release.
$688.38–$731.60
49442 places a tube into the cecum; 49441 places enteral access into the duodenum or jejunum.
$706.94–$753.36
49446 converts an existing gastrostomy tube to a gastrojejunostomy tube. 49441 reports new percutaneous duodenal or jejunal tube placement.
$556.43–$594.48
49451 is for percutaneous replacement of an existing duodenal or jejunal tube. Use 49441 for new placement.
Compare 49441 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$907.84
Facility
$204.76
Southern Maine →
Office / nonfacility
$965.61
Facility
$208.27
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49441 billing questions
How does 49441 differ from 49440?
49441 establishes percutaneous tube access to the duodenum or jejunum. Use 49440 when the tube is placed into the stomach.
Can fluoroscopic guidance and contrast be billed separately?
The placement service includes fluoroscopic guidance, contrast injections, and the related radiological supervision and interpretation.
Is 49441 used to replace an existing duodenal or jejunal tube?
No. Report 49441 for new placement; 49451 describes percutaneous replacement of a duodenal or jejunal tube.
What postoperative care is included?
Related postoperative visits for 10 days are included in the global period.
Can modifier 50 be used, or can an assistant surgeon be paid?
Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,81049435,,Insert subq exten to ip cath,A,,2.19,0.41,NA,0.41,,0.57,3.17,3.17,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,81149436,,Embedded ip cath exit-site,A,,2.65,13.51,,1.99,,0.68,16.84,5.32,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,81249440,,Place gastrostomy tube perc,A,,3.83,19.34,,1.08,,0.43,23.60,5.34,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,81349441,,Place duod/jej tube perc,A,,4.41,24.27,,1.39,,0.71,29.39,6.51,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,81449442,,Place cecostomy tube perc,A,,3.66,18.18,,1.32,,0.36,22.20,5.34,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,81549446,,Change g-tube to g-j perc,A,,2.98,19.53,,0.45,,0.35,22.86,3.78,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,81649450,,Replace g/c tube perc,A,,1.33,15.41,,0.21,,0.15,16.89,1.69,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00